New Mexico State University COOPERATIVE EXTENSION SERVICE U.S. Department of Agriculture 100.L-2 (R-2015) 4-H Horse Certificate Due to the County Office by May 1 Instructions 4-H Member This certificate is to certify that this animal is the 4-H project of the member. The member may be asked to present it at 4-H fairs and horse shows for identification of the animal. This certificate is valuable and important and should be kept in a safe place 4-H Leader This certificate should be given out to the members early in the 4-H year. Members should be instructed on how to fill out this certificate and of its importance. Have the members fill it out and return it in plenty of time for you to sign it and get it to the county agent’s office by May 1 of the current year. Extension Agent Sign each certificate and keep a copy for your file and give a copy to the leader. You may require members to fill out a new certificate each year or you may redate the existing copy if this works better for your program. Enrollment Information 4-H Member’s Name____________________________ Address______________________________________ State_________________________________________ Zip__________________________________________ Name of Club_________________________________ County_______________________________________ Name of Animal____________________________ Date Animal Born___________________________ Month Day Year Sex of Animal_______ Reg. or Grade______ Breed_____________________________________ Name of Sire_______________________________ Name of Dam______________________________ New Mexico State University is an equal opportunity/affirmative action employer and educator. NMSU and the U.S. Department of Agriculture cooperating.

4-H Horse Certificate - New Mexico State Universityaces.nmsu.edu/4h/documents/4-h-horse-certificate...This certificate is to certify that this animal is the 4-H project of the member

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Page 1: 4-H Horse Certificate - New Mexico State Universityaces.nmsu.edu/4h/documents/4-h-horse-certificate...This certificate is to certify that this animal is the 4-H project of the member

New Mexico State University COOPERATIVE EXTENSION SERVICE U.S. Department of Agriculture

100.L-2 (R-2015)

4-H Horse Certificate Due to the County Office by May 1

Instructions 4-H Member This certificate is to certify that this animal is the 4-H project of the member. The member may be asked to present it at 4-H fairs and horse shows for identification of the animal. This certificate is valuable and important and should be kept in a safe place

4-H Leader This certificate should be given out to the members early in the 4-H year. Members should be instructed on how to fill out this certificate and of its importance. Have the members fill it out and return it in plenty of time for you to sign it and get it to the county agent’s office by May 1 of the current year.

Extension AgentSign each certificate and keep a copy for your file and give a copy to the leader. You may require members to fill out a new certificate each year or you may redate the existing copy if this works better for your program.

Enrollment Information

4-H Member’s Name____________________________

Address______________________________________

State_________________________________________

Zip__________________________________________

Name of Club_________________________________

County_______________________________________

Name of Animal____________________________

Date Animal Born___________________________ Month Day Year

Sex of Animal_______ Reg. or Grade______

Breed_____________________________________

Name of Sire_______________________________

Name of Dam______________________________

New Mexico State University is an equal opportunity/affirmative action employer and educator. NMSU and the U.S. Department of Agriculture cooperating.

Page 2: 4-H Horse Certificate - New Mexico State Universityaces.nmsu.edu/4h/documents/4-h-horse-certificate...This certificate is to certify that this animal is the 4-H project of the member

_____________________________________________

New Mexico State University COOPERATIVE EXTENSION SERVICE U.S. Department of Agriculture

Identification of Animal______________________________________________________________________ Registration Number, Color, etc. Identify as thoroughly as possible.

Draw color marking on each side and face or provide picture of each side.

When was the animal acquired for the 4-H project?_________________________________________________ Month Date Year

Was this your project animal last year?__________________________________________________________

Number of years you have had this animal as a 4-H project__________________________________________

File in county office_________________________________________________________________________ Signature of County Agent

I certifify that this is a 4-H project this year and that the above information is correct to the best of my knowledge.

Signature of 4-H Member

Signature of 4-H Leader

Signature of Parent or Guardian

New Mexico State University is an equal opportunity/affirmative action employer and educator. NMSU and the U.S. Department of Agriculture cooperating.